Dr Shane D Boucher, DC in University Place, WA - Medicare Chiropractor Provider

Dr Shane D Boucher, DC is a medicare enrolled "Chiropractor" provider in University Place, Washington. His current practice location is 7307 40th St W Ste B, University Place, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 753-6204.

Dr Shane D Boucher is licensed to practice in Texas (license number 11178) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093805178.

Contact Information

	Dr Shane D Boucher, DC
	7307 40th St W Ste B, University Place, WA 98466-4385
	(253) 753-6204
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shane D Boucher
Gender	Male
Speciality	Chiropractor
Location	7307 40th St W Ste B, University Place, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093805178
Provider Enumeration Date: 10/13/2006
Last Update Date: 01/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5193723658
Enrollment ID: I20070627000248

Medical Identifiers

Medical identifiers for Dr Shane D Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093805178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH00034742 (Washington)	Secondary
111N00000X	Chiropractor	713689 (Oregon)	Secondary
111N00000X	Chiropractor	11178 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shane D Boucher allows following entities to bill medicare on his behalf.

Provider Name	Complete Chiropractic & Massage Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922405356 PECOS PAC ID: 8224354873 Enrollment ID: O20150226000805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shane D Boucher is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shane D Boucher, DC 4250 Alturus St W, University Place, WA 98466-6612 Ph: (281) 881-4683	Dr Shane D Boucher, DC 7307 40th St W Ste B, University Place, WA 98466-4385 Ph: (253) 753-6204

Reviews and Comments

Chiropractor in University Place, WA

Seth Jacob Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7121 27th St W, University Place, WA 98466 Phone: 253-566-4744 Fax: 253-566-6744
Dr. Thomas Michael Williams, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2607 Bridgeport Way W Ste 1d, University Place, WA 98466 Phone: 253-564-6747
Pearl Chiropractic, P S Chiropractor Medicare: Medicare Enrolled Practice Location: 7025 27th St W Ste 1, University Place, WA 98466 Phone: 253-970-5077 Fax: 253-327-1296
Dr. Mattheu Owen Williams, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2607 Bridgeport Way W Ste 1d, University Place, WA 98466 Phone: 253-566-2225
Pacific Wellness And Spa Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 4114 Bridgeport Way W, University Place, WA 98466 Phone: 253-564-8100 Fax: 253-564-8387
Bayside Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7307 40th St W Ste B, University Place, WA 98466 Phone: 253-753-6204

Dr Shane D Boucher, DC - Medicare Chiropractor in University Place, WA